がん診断後の喫煙行動の変化と心血管疾患のリスク:全国的なコホート研究
PubMedで要約を見る
まとめ
この要約は機械生成です。癌と診断された後に禁煙すると,心臓発作や脳卒中を含む主要な心血管疾患 (CVD) のリスクが著しく低下します. 癌の生存者にとって 禁煙を強調することは 心血管の健康を改善するために 極めて重要です
科学分野
- 心血管医学
- 腫瘍学
- 公衆衛生
背景
- 癌の治療と検出の進歩により,がんの生存率が高くなるため,がんの生存者は心血管疾患 (CVD) のリスクが高まります.
- 喫煙行動の変化などのライフスタイルの要因の影響を理解することは 癌の生存者の長期的な健康状態の管理に不可欠です
研究 の 目的
- 喫煙行動の変化と癌の生存者における特定の心血管疾患の発生率との関連を調査する.
- 持続的な喫煙,禁煙,がん診断後の喫煙開始/再発に関連する心血管リスクの評価.
主な方法
- 2010年から2016年の間に診断された269,917人の癌の生存者を分析した.
- 喫煙行動は,診断前の健康検査と診断後の健康検査に基づいて,持続的な非喫煙者,禁煙者,再発者/再発者,および持続的な喫煙者に分類されました.
- 生存者は,インシデント心筋梗塞 (MI),不全性脳卒中 (IS),心不全 (HF),心房細動 (AF) について2019年まで追跡された.
主要な成果
- MI (1. 64),IS (1. 61),HF (1. 55) とAF (1. 22) の調整された危険比 (aHRs) は持続的な非喫煙者と比較して著しく高かった.
- がん診断後の禁煙は,継続的な喫煙と比較して,これらの心血管疾患のリスクが低いと関連付けられました.
- 喫煙開始者/再発者は,持続的な非喫煙者と比較して,MI (1.53) とHF (1.28) のリスクも高かった.
結論
- 癌の診断を受けた後の禁煙は,心臓発作,心筋梗塞,高血圧,心筋梗塞などの重大な心血管疾患のリスクを低下させる.
- がん治療の連続体全体に 禁煙支援を統合することは,特に診断の時期には,生存者の心血管疾患のリスクを軽減するために不可欠です.
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